Exclusive on @oscarhealth: the plan is cutting its NY network in half. Here’s why they say that’s good for patients:http://www.vox.com/2016/7/26/12257926/oscar-health-networks-new-york?utm_campaign=sarahkliff&utm_content=chorus&utm_medium=social&utm_source=twitter …
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odd risk adjustment play as narrow networks = healthy pop but expensive premiums = sick population
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but narrow networks also = concentration of RA resources and building RA incentives into contracts
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they are going to ping PCP when mbr goes to ER (to get RA dx coded)
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It helps a bit on RA but not particularly innovative -- at least three vendors have ADT pingers on mkt
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I'm being a bit mocking of their claims to innovativeness
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next they will say their setting up ACOs!
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and ACOs were their innovative hip startup idea
End of conversation
New conversation -
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Lower NY market has very odd elasticity. This will still be a larger network than some competition.
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